今更ながら、CSF leakに予防的抗菌薬投与が推奨されてないことを知る。 https://t.co/k3qtiWTOxl
The answer is a resounding "No!" Check out this Cochrane Review for more... https://t.co/73UPlXyixM
A serious late complication to lookout for is meningitis! The abnormal communication created by the fracture can lead bacteria from the nasopharynx or ear to reach the CNS. However, there is no good evidence that Abx prophylaxis helps https://t.co/SfLTF4tS
@RegionsTrauma there's really good evidence against using antibiotics in CSF leaks https://t.co/ItR61niIAE
Antibiotiques pour prévenir l'infection des enveloppes du cerveau (méningite) chez les patients souffrant de fractures de la base du crâne https://t.co/QyNH1P4hqU
Profilaxis antibiótica para la prevención de meningitis en pacientes con fracturas de base de cráneo https://t.co/HvL4U7VZdY
Antibiotic prophylaxis in BOS fractures http://t.co/9hdS40MIvx
Antibiotic prophylaxis in BOS fractures http://t.co/9hdS40MIvx
頭蓋底骨折の入院管理では,髄膜炎など細菌感染を懸念して抗菌薬の予防投与を行うことが多いですが,今のところ絶対必須!と言えるほどの裏付けはないようですね…一方で,盲目的に長期投与する必要もなさそうなので一安心です. http://t.co/Zp7wE9qDwM